Organization
LINCOLN COUNTY PRIMARY CARE CENTER INC
Active
Other names
SOUTHERN WEST VIRGINIA HEALTH SYSTEM-MAN
Organization subpart
No
Provider details
NPI number
Authorized official
LETITIA ANN WEAVER (CREDENTIALING COORDINATOR)
(304) 824-5806
Entity
Organization
Contact information
Practice address
600 E MCDONALD AVE, MAN, WV 25635-1023
(304) 583-8585
Mailing address
7400 LYNN AVE, HAMLIN, WV 25523-1138
(304) 824-5806
(304) 824-5885
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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